RFA Application - English | RFA Application - French
Request for Assistance Application - English
Dear Applicant:
The African Diaspora Medical Project, Inc. (ADMProject) is established solely for the purpose of providing medical relief assistance to the most needy in Africa and throughout the African Diaspora. We are a non-profit organization and we identify and/or develop health-related projects that can be supported with technical, personnel and materiel assistance. These projects are implemented in response to, and in collaboration with, our medical colleagues in the subject areas. Our projects are undertaken by a team of specialists and technical assistance providers who will work with health professionals, community members, businesses, institutions, and other entities to respond to health care problems by conducting extensive, in-depth investigations and analyses and following through with planned action.
How to Apply
A simple proposal, which may be written in letterform, is the first step in the application process. This initial proposal should not exceed five pages (four pages text and one page for the budget) and should provide the following information:
1. Organizational background: Briefly describe the history and expertise of your organization.
• Is your organization incorporated? If so, when did you incorporate? If not, do you represent an identifiable group?
• Provide a list of your board members and/or leadership
• What does your organization/group do?
• What are some of your major accomplishments?
• Who have you traditionally worked with and/or targeted? (This might include the geographic area, social entity or other factors that identify the community with which you work)
2. A description of the social, environmental and health concerns and/or conditions that you will address:
If possible, provide statistics, photographs or data that help describe this condition, as well as any other information that can be provided that will increase our understanding of the problem.
3. An explanation of the work to be undertaken and how this will promote a change for those individuals or conditions that you are trying to affect:
Here you should be very clear as to how your efforts will complement or impact existing services, if any, or how they attempt to solve and/or confront a condition rather than alleviate a symptom. Also, describe how the affected community will participate in achieving the desired solution.
4. Desired Assistance:
Describe in detail how the ADMProject can be of assistance. Be very specific as to what your needs are.
5. A budget:
If possible, there should be a line-by-line expense accounting for the entire project; however, your budget proposal will be considered a preliminary projection. It is the intention of ADMProject to provide our expertise and technical support in the development of a projected budget, which will reflect our collaboration. Include a brief statement describing the level of contribution or support needed. Please indicate tentative, proposed or current in-kind or financial assistance. This may include time, effort or any support deemed significant.
Considerations
To be considered for assistance, the Request for Assistance (RFA) application must be completed in its entirety. Our executive committee will then evaluate this RFA to determine feasibility. It is our goal to respond to all such requests deemed legitimate. However, our decision to respond favorably may be influenced by several factors:
• Inhibiting constraints of local jurisdictions
• Perceived credibility of the requesting entity
• Consistency of the request with the goals of the ADMProject as outlined in our Mission Statement
• The capacity of the ADMProject to respond to such requests
• Security issues
Once the RFA has been approved and accepted, we will then begin collaboration with health officials in the subject area to design a project plan and establish a budget. In many cases, this will require a site visit in order to better evaluate the need and to meet with local officials.
The ADMProject stands ready to answer any questions and assist you in completing this application.
Submit Response to:
The African Diaspora Medical Project, Inc.
Attn: Dr. Lenox Dingle
Chief Executive Officer
PO Box 27637t
Baltimore, Maryland 21244-0637
phone: 410.303.5053
fax: 410.922.3518
Or Via Email: ldingle@admproject.org
